Information Collection

Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents

IC 219134 under ICR 201905-0920-010 · OMB 0920-1108.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1108 can be found here:

Documents and Forms

Document Name Document Type
Attachment 4c_Post-hospital data elements.docx Other-Data elements

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data elements			Attachment 4c_Post-hospital data elements.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	513	513

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.